Provider Demographics
NPI:1336150614
Name:STOKES, JOHN P (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:P
Last Name:STOKES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1826 WROXTON RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1720
Mailing Address - Country:US
Mailing Address - Phone:713-817-8141
Mailing Address - Fax:866-862-2852
Practice Address - Street 1:4701 FM 2920
Practice Address - Street 2:SUITE C-2
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388
Practice Address - Country:US
Practice Address - Phone:713-817-8141
Practice Address - Fax:866-862-2852
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41517207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX182731301Medicaid
TX182731302OtherCIDC
TX8G9417Medicare PIN
TXP00347381Medicare PIN
TX182731302OtherCIDC